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Endovascular Treatment Decision in Acute Stroke: Does Physician Gender Matter? Insights From UNMASK EVT, an International, Multidisciplinary Survey

Authors
 Johanna Maria Ospel  ;  Nima Kashani  ;  Alexis T Wilson  ;  Urs Fischer  ;  Bruce C V Campbell  ;  Pillai N Sylaja  ;  Shinichi Yoshimura  ;  Alejandro A Rabinstein  ;  Francis Turjman  ;  Peter Mitchell  ;  Byung Moon Kim  ;  Mathew P Cherian  ;  Ji Hoe Heo  ;  Blaise W Baxter  ;  Anna Podlasek  ;  Mona Foss  ;  Bijoy K Menon  ;  Mohammed A Almekhlafi  ;  Andrew M Demchuk  ;  Michael D Hill  ;  Gustavo Saposnik  ;  Mayank Goyal 
Citation
 JOURNAL OF NEUROINTERVENTIONAL SURGERY, Vol.12(3) : 256-259, 2020-03 
Journal Title
 JOURNAL OF NEUROINTERVENTIONAL SURGERY 
ISSN
 1759-8478 
Issue Date
2020-03
Keywords
stroke ; thrombectomy
Abstract
Background and purpose: Differences in the treatment practice of female and male physicians have been shown in several medical subspecialties. It is currently not known whether this also applies to endovascular stroke treatment. The purpose of this study was to explore whether there are differences in endovascular treatment decisions made by female and male stroke physicians and neurointerventionalists. Methods: In an international survey, stroke physicians and neurointerventionalists were randomly assigned 10 case scenarios and asked how they would treat the patient: (A) assuming there were no external constraints and (B) given their local working conditions. Descriptive statistics were used to describe baseline demographics, and the adjusted OR for physician gender as a predictor of endovascular treatment decision was calculated using logistic regression. Results: 607 physicians (97 women, 508 men, 2 who did not wish to declare) participated in this survey. Physician gender was neither a significant predictor for endovascular treatment decision under assumed ideal conditions (endovascular therapy was favored by 77.0% of female and 79.3% of male physicians, adjusted OR 1.03, P=0.806) nor under current local resources (endovascular therapy was favored by 69.1% of female and 76.9% of male physicians, adjusted OR 1.03, P=0.814). Conclusion: Endovascular therapy decision making between male and female physicians did not differ under assumed ideal conditions or under current local resources.
Full Text
https://jnis.bmj.com/content/12/3/256.long
DOI
10.1136/neurintsurg-2019-015003
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Byung Moon(김병문) ORCID logo https://orcid.org/0000-0001-8593-6841
Heo, Ji Hoe(허지회) ORCID logo https://orcid.org/0000-0001-9898-3321
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/176003
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